About
Endoscopic procedure whereas the surgeon inserts a scope for direct visualization of the larynx, trachea, and bronchi.
Assess
Lungs sounds, breathing patterns, vital signs, pulse oximetry, gag reflex.
Complications
Pneumothorax, bleeding, perforation, infection, aspiration, hypoxia, bronchospasm
Diagnosis
- Risk for infection related to invasive procedure.
- Knowledge deficit related to procedure.
Goals
- The client will remain free from infection.
- The client will demonstrate effective breathing patterns.
Interventions
- Assess vital signs post operatively every 15 minutes X's 2, every 30 minutes X's 2, every 1 hour X's 2, than every four hours.
- Assess for signs and symptoms of complications ( difficulty in breathing, anxiety, lethargy, confusion, decreased pulse-oximetry, tachycardia, hypotension, bloody sputum, arrhythmias) and report immediately to physician.
- Monitor for gag reflex. Maintain NPO until return of gag reflex.
- Teach patient to report any signs and symptoms indicating complications including shortness of breath and/ or bleeding.
- Encourage coughing and deep breathing.
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